HomeMy WebLinkAboutDriveway Street Cut Permits 30 Brook Str Permit No. 3389 Town of South Windsor, CT
Date 09/11/2002 Street Excavation Permit
Expiration Date 09/11/2003
Descrip:
Applicant ` Location
Name COLONIAL PAVING STREET
Addr. 244 LOMBARDO DR
E. HARTFORD CT 06 1 . k DRIVEWAY
Phone (860)568-9613
Applicant agrees t Rhin or the amount of bond
required and to reim T th r any expenses
incurred by the Town o ten epai r i connection with this
permit and that appl a bide by the rules and
regulations for permi 1 uth Windsor's Street
Cut Permit Manual .
* * PERMIT T T T ALL TIMES.
Issued by
e - s
Date Completed Inspected By
Id
TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 33$ ,,. ?a S� Contractor COLONIAL PAVING
Location Address 244 LOMBARDO DR
jType Work D ;WAY E. HARTFORD CT 06118
No. (860)568-9613
Date Insp Needed In l 0
Time Insp Needed
Inspected By
Work in Progress d j
VOA 12%
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NPSOR
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Date
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSORf CT
FEE $25.00
Name of Firm COL on11&L &Od(e Co . OF
F•If7'iFA Phone No. 568-96 /3
Address of Firm ra +{5/ L oi►98AR�o d.� E, N- , r T_ /lam
Location of proposed work 3 0 o o K S - -
Describe fully nature of permit requested E J- ja L & AgeiVC&J&
Starting date - a.-n- Approx.time for completion a cy EElCS
Call Before You Dig No. D 0 3 d O Traffic Services Control No.
Show sketch of proposed work or furnish To be filled out by Town of South Windsor
two copies of separate drawing
Pavement Cut
Indicate North Prop.size of cut
v se No.cuts
"Amt of Deposit$ by
O Cash{)Check_#
Cut size after Perm. Patch
lam^ �3 r No. Cuts
Final Billing$
Amt. Due Payee$
Amt Due Town$
Applicant is responsible for cont,cling 191 x by date
the Police Dept.and C.B.Y.D.
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF
SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS
PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE
TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL
Signed: Date:
Title:— sc�E7 �7�i�/@'/ D.L#•
PERMIT SHALL BE KEPT ON]OBSI I E AT ALL TIMES
Standard Forms\Permits\Street Excavation Permit.doc